Updates to the Medicare Carrier System (MCS), the Viable Information Processing Systems Medicare Systems (VMS) and the Common Working File (CWF) Processes to Capture and Further Automate the Medicare Secondary Payer (MSP) Processes
The purpose of this Change Request (CR) is to establish functionality in MCS to apply the CWF MSP information to the claim at a detail level and ensure the CWF MSP information used to adjudicate the claim detail is not altered in MCS history. This CR establishes functionality in MCS and VMS to further automate the MSP cost avoid process to consider the prompt pay period for non-ongoing responsibilities for medicals (ORM) MSP Types 14, 15 and 47 prior to dispositioning the claim and establishes functionality in CWF to apply MSP editing and override processing at the detail level allowing services not applicable to the MSP processing to remain on the claim.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 09, 2024
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